Professor dr Borivoje Gradojevic: The first University professor of orthopaedic surgery

Prof. dr Borivoje Gradojevic was one of the greatest figures of our medicine, and one of the pioners and founders of orthopedic surgery in our country. He was the first professor of orthopedic surgery in Serbia ie. the professor of Belgrade Faculty of Medicine. Beside well education and professional skills dr Gradojevic published the numerous scientific papers and he published the first textbook of orthopedics in this country. Unfortunately, his professional career was brutally interrupted in 1945, when he was forced to retire and moved from Medical faculty, together with other professors in these times. This resulted in enormous regression- fall in academic community, and our health care system and country also.

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Stories of institutional and local policy change from Harvard’s Cambridge Health Alliance

McGill Journal of Medicine ◽

10.26443/mjm.v18i1.158 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Debra Ann Dawson

Keyword(s):

Health Care ◽

Medical Students ◽

Health Care System ◽

Policy Change ◽

Local Population ◽

Cultural Exchange ◽

Academic Community ◽

Local Policy ◽

Health Alliance ◽

Care System

In May of 2017, myself and five other first and second year McGill Medical students embarked on a cultural exchange with Harvard medical students. This is an annual program run by Dr. Semaan, professor at Harvard Medical School, and McGill Medicine graduate. During the exchange, we had the opportunity to attend some pointed lectures which had the goal of illustrating some of the realities of the health care system in the Cambridge-Boston area. This article is a reflection on the talk given by Dr. David Bor of the Cambridge Health Alliance titled “Cambridge Health Alliance: A Public, Academic Community-Responsive Health Care System”, wherein he provided inspiring personal stories of institutional and policy change pursuits he was involved in in response to needs of the local population.

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Professional expectations of medical university graduates in solving the issues of health care system staffing

Уральский медицинский журнал ◽

10.52420/2071-5943-2021-20-4-67-72 ◽

2021 ◽

Vol 20 (4) ◽

pp. 67-72

Author(s):

Ju. A. Tjukov ◽

E. S. Matveeva ◽

A. M. Berezina

Keyword(s):

Health Care ◽

Health Care System ◽

Rural Areas ◽

Small Towns ◽

Practical Training ◽

University Graduates ◽

Professional Career ◽

Professional Expectations ◽

Medical University ◽

Care System

Introduction. At present, in most regions of the Russian Federation there is a shortage of medical personnel in the public health system. The issue is particularly acute in medical organizations providing primary health care, as well as in municipal districts remote from the regional center. The purpose of the paper is to examine the professional expectations and intentions of medical university students. Materials and methods. The method of questioning was applied in the study. Questionnaires were taken by 296 students of the fifth year of the specialties «Medicine» and «Pediatrics», studying on the budget and commercial forms of education.Results. Only 22% of respondents considered primary care as a place of work. Large cities are chosen for work by 90% of respondents, and 42% of them would like to leave their home region and find a job in economically more attractive regions. Only 6% of respondents are ready to go to the countryside, and 4% of respondents are interested in ambulance service. Approximately evenly distributed were opinions on work in public and private health care system, respectively, 54% and 56% of respondents. At the stage of graduation, 16.6% of the students were disappointed in their chosen profession, another 22.3% found it difficult to answer, and 5.7% do not plan to stay in healthcare after graduation. Discussion. The main reasons for this situation are salaries that do not meet the needs of graduates, especially at the start of their professional career, the social unsettlement of young doctors, mainly in small towns and rural areas, and insufficient practical training. Conclusion. The solution to the problem lies in the sphere of socio-economic provision of living conditions and stimulation of quality training of specialists, taking into account professional orientation.

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IMPACT OF COVID-19 ON SURGICAL ACTIVITY OF AN ORTHOPAEDIC SURGERY AND TRAUMATOLOGY SERVICE IN A SECONDARY HOSPITAL

British Journal of Surgery ◽

10.1093/bjs/znab160.027 ◽

2021 ◽

Vol 108 (Supplement_3) ◽

Author(s):

A García Arias ◽

L Lanuza Lagunilla ◽

L García Cuello ◽

P Suárez-Anta Rodríguez ◽

A Camblor Valladares ◽

...

Keyword(s):

Health Care ◽

Retrospective Study ◽

Orthopedic Surgery ◽

Orthopaedic Surgery ◽

Public Places ◽

Secondary Center ◽

Injury Mechanisms ◽

The World ◽

Secondary Outcomes ◽

Secondary Hospital

Abstract INTRODUCTION COVID-19 has changed the behavior of health care in the world, and consequently, it has affected surgical activity. Related to orthopedic surgery and traumatology, a decrease of up to a third has been observed according to published series. But a secondary center may need more adjustments than a first level one. MATERIAL AND METHODS Retrospective study, comparing data from the first Sate of Alarm (03/14/20 – 06/21/20) with the same period of 2019. The number of surgeries, hospitalizations and diagnoses were selected as primary outcomes, and injury mechanisms, kind of surgeries and differences in time to surgery as secondary outcomes. RESULTS Surgical activity went from 462 cases in 2019 to 190 cases in 2020 (59% less). The main reason for intervention during the State of Alarm was fractures, with 129 cases out of the total (compared to 167 in 2019); being orthopedics in 2019 (178 cases compared to 40).The most frequent fracture in both groups was the hip fracture, with 71 cases in 2019 compared to 59 in 2020.Accidents on public places, associated with sports practice and related to traffic, were reduced by 1/3. CONCLUSIONS A more striking reduction in surgical activity is observed than that reflected in other series, probably due to the case of programmed surgery. Perhaps in centers with greater capacity this measure is not that necessary. In the same circumstances, up to 50% of the ORTR staff could be used to treat other pathologies safely.

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A Tribute to the Late William J. Curran

The Journal of Law Medicine & Ethics ◽

10.1017/s1073110500004058 ◽

1996 ◽

Vol 24 (3) ◽

pp. 274-275

Author(s):

O. Lawrence ◽

J.D. Gostin

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Illness ◽

United Nations ◽

Mental Health Care ◽

Harvard University ◽

Legal Medicine ◽

General Assembly ◽

International Institute ◽

University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

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Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

Perspectives on Telepractice ◽

10.1044/teles4.1.23 ◽

2014 ◽

Vol 4 (1) ◽

pp. 23-29

Author(s):

Constance Hilory Tomberlin

Keyword(s):

Health Care ◽

Patient Satisfaction ◽

Patient Care ◽

Health Care System ◽

Gulf Coast ◽

New Technology ◽

Cost Effective ◽

Veterans Health ◽

Potential Benefits ◽

Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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